| NPI | 1083154728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELIXSA ACOSTA Owner 610-804-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 2251P0200X Physical Therapist Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2022-04-06 |